Moath M Sarsour, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

1856740 Issued in WI

Practice address

1672 S 9TH St Unit D
Milwaukee, WI 53204-3426

Phone

(414) 326-0888

NPI assigned

Jun 10, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Long Life Pharmacy LTC

  • Long Term Care Pharmacy
  • Milwaukee, WI
  • NPI 1194591644
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1720647019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 S 60TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143369",
            "telephone_number": "414-377-7717",
            "fax_number": "414-377-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S 9TH ST UNIT D",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043426",
            "telephone_number": "414-326-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSOUR",
        "first_name": "MOATH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "1856740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chequaleis C Sargent, APRN
• Jennifer Sargent, R.D.
• Lena Sarhan, MD
• Edward Sarmiento, M.D.
• Ahmad Sarsour
• Sabreen Sarsour, NP
• Lalitha V Sarvadevabhatla, PT
• Jenna Lynne Sarvaideo, DO
• Sasc, Inc.
• Debra Sass, RPH

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.